| NPI | 1104791920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEQUILA L BERRY Manager 904-782-7315 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 342000000X Transportation Network Company | |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |